PAGE  IN  COLL  . BOOK 


^"^^    Remember:  Always  state  the  Number 
of  Policy  and  Name  of  Agent 
)\  in  making  inquiries 


raEMpmilPT  BOOK 


OF 

NEW  YORK 


PACIFIC  COAST 
HEAD  OFFICE 
SAN  FRANCISCO.  CAL 


KEEP  THIS  BOOK  IN  GOOD  ORDER 
.  t  ALWAYS  HAVE  IT  READY  FOR  THE  AGENT 

£=Z  


Ed.  1-1916—58700.   Form  25 


Policy  No. 

NAME  OF  INSURED 

Premium 

M 

¥ 

f 

t 

■A^^lf      1      i — 

1' 

■5anir~3r^~-    ■■•  S*  -**m 

■L 

r 

% 

? 

*■ 

• 

- 

I 

*  ~~  j>  : 

% 

1 

% 

% 

k 

/ 

•A 

■ 

■ 

Li 

■ 

— 

 r  

— 

1 

i 

4 

n 

TOTAL  WEEKLY  PREMIUM 

REMEMBER: 

/  Always  state  number  of  policy  and 
\  name  of  Agent  in  making  inquiries. 

The  authorized  Agent  of  the  Company  will  always,  when  first  calHn 
upon  a  policy-holder,  be  introduced  by  the  Deputy  Manager  of  the  Brand 
Office  of  this  district,  where  all  information  will  be  given.  Adores: 


District 


j[  rUlllll  ill 

Date 
When  Due 

Date 
When  Reed. 

On  first  line  ol  each  page  sign 
number;  afterwards  initials. 

1922 

JAN.  2 
k  9 

"  16 

■  23 
"  30 

FEB.  6 
«  13 
"  20 
«  27 

MAR.  6 
"  13 

■  20 
"]  27 

APR.  3 

"  10 
ii  17 

«  24 
MAY  1 
"  8 
"  15 
"  22 

1922 

1 

2 

  3 

4 

5 

6 

7 

8 

9 

in 

n 

12 

13 

14 

15 

16 

17 

18 

19 

20 

91 

"  29 

JUNE  5 

"  12 
ii  19 

"  26 

9.9. 

23 

24 

 1  25 

26 

DON'T  PAY  PREMIUMS  TO  STRANGERS 


SPECIAL  NOTICE  TO  PARENTS  AND 
GUARDIANS. 


The  laws  of  New  York  State  and  the  policy 
contracts  of  this  Company  provide  that  no 
insurance  may  be  carried  on  any  child  in  excess 
of  the  following  schedule : 


If 

child 

is 

under 

2, 

not 

over 

$30 

If 

child 

is 

under 

3, 

not 

over 

34 

If 

child 

is 

under 

4, 

not 

over 

40 

If 

child 

is 

under 

5, 

not 

over 

48 

If 

child 

is 

under 

6, 

not 

over 

58 

if 

child 

is 

under 

7, 

not 

over 

140 

If 

child 

is 

under 

8, 

not 

over 

168 

If 

child 

is 

under 

°, 

not 

over 

200 

If 

child 

is 

under 

10, 

not 

over 

240 

If 

child 

is 

under 

11, 

not 

over 

300 

If 

child 

is 

under 

12, 

not 

over 

380 

If 

child 

is 

under 

13, 

not 

over 

460 

If 

child 

is 

under 

14, 

not 

over 

520 

n 

child 

is 

under 

15, 

not 

over 

520 

District 

Premium 


Date 
When  Due 


Date 
When  Reed. 


On  first  line  of  each  page  sign 
full  name  and  enter  agency 
number:  afterwards  initials. 


2± 


2^ 


7 


S) 


_i  


t  ■ 


1922 

JULY  3 

M  10 
«  17 

"  24 

"  31 

AUG.  7 
a  14 

"  21 
M  28 

SEP.  4 
"  11 
11  18 
"  25 

OCT.  2 
"  9 
M  16 
"  23 
"  30 

NOV.  6 
"  13 
"  20 
8  27 

DEC.  4 
"  11 
"  18 
«  25 


1922 


£A4 


^2 


3 


-  - 


DON'T  PAY  PREMIUMS  TO  STRANGERS 


District 


Premium 


On  first  line  of  each  page  s!*a 
full  name  and  enter  Agency 
number;  afterwards  initials. 


DON'T  PAY 


District 

Premium 


Date 
When  Due 


Date 
When  Reed. 


On  first  line  of  each  page  sign 
lull  name  and  enter  agency 
number;  afterwards  initials. 





1923 

JULY  2 
"  9 
"  16 
"  23 
"  30 

AUG.  6 
"  13 
"  20 
"  27 

SEP.  3 
14  10 
ii  17 

"  24 
OCT.  1 
"  8 
'<  15 
"  22 
M  29 
NOV.  5 
"  12 
»  19 

"  26 
DEC.  3 
"  10 
ii  17 

«  24 
"  31 


1923 


District 

Premium 


Date 
When  Due 


Date 
When  Reed. 


On  first  line  of  each  page  sign 
full  name  and  enter  agency 
number;  afterwards  initials. 


1924 

JAN.  7 
«  14 

"  21 
"  28 
FEB.  4 
?5  11 
««  18 
K  25 
MAR.  3 
"  10 
"  17 
«  24 
"  31 

APR.  7 
«  14 

"  21 
"  28 

MAY  5 
m  12 
"  19 
"  26 

JUNE  2 
"  9 
«  16 
"  23 
M  30 


1924 


/J 


DON'T  PAY  PREMIUMS  TO  STRANGERS 


District 


}  Premium 

Date 
When  Due 

Date 
When  Reed. 

On  first  line  of  each  page  sigD 
full   name  and   enter  agency 
number;  afterwards  initials. 

1924 

JULY  7 
ci  14 

"  21 
"  28 

> 

AUG.  4^ 
"  111 
"  1* 
M  25 

SEP.  1 
"  8 
M  15 
"  22- 
«  29 

OCT.  6 
"  13 
"  20 
"  27 

NOV.  3 

M  10 
"  17 

"  24 
DEC.  1 
M  8 
«  1J 

"  22 
m  29 

1924 

1 

■ 

5 

V 

3 

II 

/ 

S  4 

/  /  — 

Af    c   5 

«  /£/  / 

7 

— , — 

or 

8 

9 

10 

I 
. 

11 

. 

12 

— 

13 

— 

14 

1 

.15 

1 

16 

i 

17 

18 

i  If 

19 

1  *\I 

20 

21 

?;2 

23 

 ^  24 



25 

2fi 

DON'T  PAY  PREMIUMS  TO  STRANGERS 

District 


Premium 

When  Due 

uate 
When  Reed. 

On  first  line  of  each  page  sign 
full  name  and  enter  agency 
number;  afterwards  initials. 

1925 

JAN.  5 
"  12 
"  19 
"  26 

FEB.  2 
"  9 
"  16 
"  23 

MAR.  2 
"  9 
"  16^ 
"  23 
"  30 

APR.  6 
"  13 

1925 

if  1 

/   r  i 

1 

1 

; 

• — 



"  20 
»  27 

MAY  4 
"  11 
"  18 
"  25 

JUNE1 
"  8 
"  15 
"  22 
«  29 

] 

] 

1 

— 

1 

,  /  r 

DON'T  PAY  PREMIUMS  TO  STRANGERS 


District 

Premium 


Date 
When  Due 


1925 

JULY  6 
"  13 
"  20 
"  27 

AUG.  3 
"  10 
ii  17 

«  24 
"  31 
SEP.  7 
ii  14 

"  21 
"  28 
OCT.  5 
«  12 
u  lQ 

K  26 
NOV.  2 
m  9 

"  16 
M  23 
"  30 

DEC.  7 
u  14 

■  21 
S  28 


Date 
When  Reed. 


1925 


On  first  line  of  each  page  sign 
full  name  and  enter  agency 
number;  afterwards  initials. 


_  1 

-  2 

-  3 

-  4 

-  5 

-  6 

-  7 

-  8 

-  9 
-10 
.11 
-12 
-13 
.14 
-15 
.16 
-17 
-18 
.19 
.20 
.21 
.22 
.23 
.24 
,25 
16 


DON'T  PAY  PREMIUMS  TO  STRANGERS 


District 


Premium 


Date 
When  Due 


Date 
When  Reed. 


On  first  line  of  each  page  sign 
full  name  and  enter  agency 
number;  afterwards  initials. 


1926 

JAN.  4 
"  11 
"  18 
"  25 

FEB.  1 
"  8 
"  15 
«  22 

MAR.1 
"  8 
«  15 
M  22 
"  29 

APR.  5 
"  12 

"  26 

MAY  3 

"  10 
«  17 

«  24 

"  31 

JUNE  7 
ci  14 

«  21 
«  28 


1926 


TO  STRANGERS 


.  1 

2 
.  3 
.  4 
.  5 
.6 

.m 

.8 
.  S 
.1C 


.12 


_2C 


.21 


,21 


.24 


District 


Premium 

Date 
When  Due 

Date 
When  Reed. 

On  first  line  of  each  page  sign 
full  name  and   enter  agency 
number:  afterwards  initials. 

1926 

JULY  5 
«  12 
«  19 

"  26 
AUG.  2 
"  9 
"  16 

1926 

"  23 

- 

"  30 
SEP.  6 
"  13 
11  20 
«  27 
OCT.  4 
"  11 
«  18 



"  25 
NOV.  1 
"  8 
"  15 
"  22 
"  29 
DEC.  6 

 ] 

.- 

f  ■  i      —  ' '  i 

i 

i 

"  13 
"  20 
"  27 

3 
4 
5 
6 
7 
S 
9 
.10 
.11 
.12 
.13 
.14 
.15 
.16 
.17 
.IS 
.19 
.20 
'1 
.22 
.23 
.24 
.25 
26 


DON'T  PAY  PREMIUMS  TO  STRANGERS 


[P.C.I 

Policy-holder  must  immediately  notify  the  Branch  Office, 
or  the  Home  Office,  or  Pacific  Coast  Head  Office,  of  change  of 
address,  using  the  postal  card  opposite. 


Premiums  are  due  each  Monday,  in  advance.  If  the  Agent  does  not  collect 
weekly,  send  your  premiums  to  the  Branch  Office,  or  to  the  Home  Office  in  New 
York  City,  or  to  the  Head  Office  in  San  Francisco,  Cal.  Express  or 
Postal  Money  Orders  should  be  made  payable  only  to  the 
Metropolitan  Life  Insurance  Company. 

All  payments  must  be  entered  in  THIS  PREMIUM  RECEIPT  BOOK  by 
the  authorized  Agent  at  the  time  of  payment,  or  they  will  not  be  credited  by 
the  Company. 

All  premiums  paid  in  advance  are  returned  in  event  of  death. 

BE  SAFE  AND  PAY  PREMIUMS  IN  ADVANCE. 

Agents  are  prohibited  from  paying  or  advancing  premiums  for  policy-holders. 


No  surrender  value  will  be  allowed,  nor  will  any  cash  be 
paid  for  the  surrender  of  a  policy,  except  where  the  conditions 
of  the  policy  provide  for  such  payment. 


Policies  on  which  the  premiums  are  unpaid  for  more  than 
four  weeks  are  forfeited.  Money  paid  to  Agents  after  that 
time  will  not  be  credited  on  the  forfeited  policy  by  the 
Company,  but  the  policy  may  be  renewed  subject  to  the 
rules  of  the  Company,  full  particulars  regarding  which  may 
be  obtained  from  any  Agent  or  at  the  Branch  Office. 

Free  Policies  by  Surrender.— When  a  policy  issued  prior  to  January 
1, 1907,  has  been  in  force  for  at  least  five  years,  or  if  issued  subsequent  to  that 
date  after  it  has  been  in  force  for  at  least  three  years,  it  may  be  surrendered 
for  a  Free  policy.  This  policy  will  not  be  for  the  amount  of  premiums  paid 
nor  for  the  face  of  the  policy,  but  for  a  reduced  amount  dependent  upon 
the  time  the  original  policy  has  been  in  force. 

Full  particulars  may  be  obtained  at  the  Branch  Office  or  by  correspondence 
with  the  Home  Office  in  New  York  City,  or  Head  Office  in  San  Francisco,  Cal. 

Under  policies  issued  since  January  1, 1907,  provision  is  made  automatically 
for  extended  insurance,  or  if  issued  since  July  1,  1911,  for  paid-up  insurance 
after  premiums  have  been  paid  for  three  years  or  more. 

Pree  Policies  at  Age  75.— On  all  policies  issued  after  January  1, 1907, 
under  the  Whole  Life  Adult  and  Whole  Life  Infantile  tables,  PAYMENT 
OF  THE  PREMIUMS  WILL  CEASE  WHEN  THE  INSURED  REACHES 
75  YEARS  OF  AGE;  no  more  premiums  to  be  collected  after  that  time,  but 
the  policies  continuing  in  force  until  death,  when  the  fall  amount  called  for 
by  the  policies  will  be  paid. 

Dividends  to  policy-holders.— For  many  years  the  Metropolitan  has 
annually  paid  Dividends  on  certain  Industrial  policies.  These  Dividends  are 
announced  the  first  of  each  year,  and  policy-holders  can  obtain  full  particu- 
lars by  inquiry  of  their  Agents,  or  at  the  Branch  Offices. 


POLICY-HOLDERS  WILL  PLEASE  READ  THEIR  POL- 
ICIES from  beginning  to  end  as  soon  as  received,  and  if  not  obtained  strictly 
in  accordance  with  the  rules  which  follow,  immediately  notify  the  Home  Office 
or  Pacific  Coast  Head  Office. 

The  contract  of  this  Company  with  the  Insured  is  fully  set  out  in  the  policy, 
and  its  terms  will  not  be  varied  by  the  Company,  nor  has  any  Agent  power 
to  vary  the  same  by  act,  or  word,  or  agreement. 

Every  policy-holder  is  allowed  two  weeks  after  date  of  his  policy  in  which 
to  determine  whether  he  desires  to  retain  it,  and  has  the  right  to  surrender 
it  to  the  Manager  of  the  district  in  which  the  policy  was  issued  and 
receive  back  his  premiums  and  have  the  policy  canceled. 


APPLICATIONS. 

ALL  APPLICATIONS  FOR  POLICIES  OR  RENEWAL  OF 
POLICIES  MUST  BE  MADE  ON  THE  APPLICATION  FORMS 
PROVIDED  BY  THE  COMPANY.  The  Company  holds  the 
right  to  accept  or  reject  each  application. 

(Continued  on  third  page  of  cover.) 


[P.  CJ 

Insurance  is  not  issued  on  persons  under  1  or  over  65  years  of  age  (prior 
to  January  1, 1911,  policies  were  issued  to  age  70),  nor  on  other  than  sound, 
healthy  lives;  nor  on  those  who  are  or  have  been  of  intemperate 
habits,  or  the  insane,  idiotic,  blind,  deaf,  dumb  or  crippled. 

AN  APPLICATION  WILL  NOT  BE  ACCEPTED  upon  the  life 
of  any  person  (children  excepted)  unless  the  life  on  which  the  policy 
is  applied  for  understands  and  consents  to  the  insurance 
and  signs  the  application. 

APPLICATIONS  ON  LIVES  UNDER  15  next  birthday  must  be 
signed  by  a  parent  of  the  child — or  by  such  relative  as  has  un- 
dertaken the  child's  support,  with  proof  of  such  responsi- 
bility. 

APPLICATIONS  ON  LIVES  15  YEARS  OF  AGE  OR  OVER 
MUST  BE  SIGNED  BY  THE  LIFE  PROPOSED. 

In  no  case  must  any  signature  be  affixed  to  the  application, 
until  answers  to  all  the  questions  above  the  signature  have 
been  filled  in  and  pronounced  correct. 

BUT  ONE  POLICY  IS  IN  FORCE  on  one  life,  unless  permission  to 
hold  additional  insurance  is  endorsed  on  the  policy.  Policies  received  with- 
out this  endorsement  are  void  and  will  not  be  paid  by  the  Company. 

NOTICE  IS  HEREBY  GIVEN  that  if  any  policy  named  in  this 
book  has  been  issued  in  violation  of  the  foregoing  rules,  it  has  been  done 
without  the  knowledge  or  consent  of  the  Company  and  by  the  wrongful  act 
of  the  applicants  and  in  fraud  of  the  Company  and  all  premiums  paid 
thereon  after  the  issue  of  this  book  will  be  forfeited  to  the  Company. 


DEATH  CLAIMS. 

On  death  of  insured  immediately  notify  the  Branch  Office  of  this  district 
or  the  Home  Office.  The  Company  pays  claims  when  satisfactory  proofs 
of  death  are  received  at  the  Home  Office,  or  Pacific  Coast  Head  Office. 

■  Claimant  should  personally  call  at  Branch  Office  designated  in  this  book. 
Pay  neither  doctor,  undertaker  nor  Agent  for  preparation  of  claim  papers. 
Deliver  the  policy  only  to  the  Company.  The  Company  is  glad  to  pay,  and 
there  is  no  necessity  for  help  or  alleged  influence  in  collecting.  Presentation 
of  satisfactory  proof  of  death  is  all  that  is  necessary  to  collect  a  claim,  with 
evidence  that  the  person  presenting  the  claim  has  the  legal  right  under  the 
rules  of  the  Company  to  collect. 

EMPLOYEES  OF  THE  COMPANY  ARE  PROHIBITED 
from  receiving  compensation,  for  expenses  or  any  purpose 
whatever,  from  a  claimant  or  other  person,  for  attending  to 
a  death  claim.   


A  TWELVE-PAGE  PAPER  FOR  GRATUITOUS  CIRCULA- 
TION is  published  by  the  Company.  It  contains  interesting  stories,  valuable 
household  hints,  practical  rules  and  recipes,  and  entertaining  and  instructive 
reading  generally.  Many  of  its  articles  are  prepared  for  the  special  use  of  the 
policy-holders  of  the  Metropolitan.  Every  insured  family  is  entitled  to  a 
copy.  If  the  Agent  does  not  supply  you  regularly,  notify  the  Branch  Office, 
or  the  Home  Office  in  New  York,  or  Pacific  Coast  Head  Office,  San  Francisco, 
Cal.  You  can  avoid  missing  any  issues  by  following  the  volume  and  number 
at  the  top  of  the  first  page. 


In  its  Ordinary  Department  the  METROPOLITAN  issues 
policies  from  $500  to  $150,000  on  plans  adapted  to  all  situa- 
tions and  circumstances  of  life,  at  rates  considerably  lower 
than  those  of  other  first-class  companies.  Premiums  are 
payable  yearly,  half-yearly  or  quarterly,  at  the  option  of  the 
policy-holder.  If  your  circumstances  are  such  that  you 
prefer  a  policy  of  this  kind,  apply  to  your  Agent  for  details. 


HOME  OFFICE,  METROPOLITAN  LIFE 
INSURANCE  CO.,  NEW  YORK 


